El Paso Hco Llc in Peoria - Skilled Nursing Facility
El Paso Hco Llc - NPI 1568562858
El Paso Hco Llc is a Skilled Nursing Facility in Peoria, Illinois. El Paso Hco Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for El Paso Hco Llc is 1568562858. The last update date is 2020-03-19.
El Paso Hco Llc's current location address is 830 W Trailcreek Dr, Peoria, Illinois. You can contact this provider via phone number 3096918113 and fax number 3096918622. The mailing address for El Paso Hco Llc is 830 W Trailcreek Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | El Paso Hco Llc |
---|---|
Address | 830 W Trailcreek Dr, Peoria, Illinois |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
---|---|
Authorized Official Name | Petersen Mark |
Telephone Number | 3096895880 |
NPI Number Detail
NPI Number | 1568562858 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
Address | 830 W Trailcreek Dr |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616141862 |
Phone Number | 3096918113 |
Fax Number | 3096918622 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 46706 |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
270376016013 | IL | -- |
Post Comment/ Review Below
What is the El Paso Hco Llc's unique identification number?
The El Paso Hco Llc has been assigned the NPI (National Provider Identifier) Number 1568562858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of El Paso Hco Llc?
The El Paso Hco Llc is physically situated at 830 W Trailcreek Dr, in the city of Peoria, state of IL, with the postal code 616141862.
What is the area of specialization for El Paso Hco Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for El Paso Hco Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568562858 to El Paso Hco Llc?
The Centers for Medicare & Medicaid Services assigned the 1568562858 to El Paso Hco Llc on 2006-09-25.
As of what date were the details related to El Paso Hco Llc most recently updated or revised?
The information pertaining to El Paso Hco Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-19.
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